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1. One way to avoid a “fake” look with breast augmentation is to place the implant beneath the pectoralis major (chest) muscle. In this position, there is an extra layer of tissue between the implant and your skin so the effect of the implant is blunted making the edges softer and the shape more natural. This is more important in women with small breasts who have little native breast tissue.

2. Another possible way to avoid an obvious breast augmentation appearance is to choose a silicone gel implant. Although a lovely natural augmentation can be achieved with a saline implant, these implants tend to be a little harder due to the fact that the surgeon is required to “overfill” the implant to avoid rupture and movement of the fluid within the implant. A softer, silicone implant tends to feel and look a little more natural.

3. Perhaps the most important approach to prevent a “fake” augmented look to the breasts is to work with your surgeon to choose the right implant size and shape to fit your body. There are a wide range of implant choices available to accommodate the variety of body types out there. If you have a small frame and small breast, a large implant will be more difficult to conceal and is more likely to look fake. The larger implants are also wider and when placed on a smaller frame the new breast is wider than the chest—a stigma of breast augmentation unwanted by some patients that desire a natural augmentation.